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BUILDING PERMIT APPLICATION
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential_ PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line I PROPOSED IMPROVEMENT LOCATION: Address: S Legal Description: 6-45;o'4� A, L UQ r -L , Property Tax ID #:3 /6J - 70 Lot No. Z-3 Site Plan Name: Block No. y& Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: `S7o N «-S 10 KLJ Additional work to be ertormed HVAC under this permit -check all Gas Tank F]Gas Piping apply: Shutters Windows/Doors Name: f}%2r,L /f . (1" AI'eS _ Company: Electric 0 Plumbing ❑Sprinklers Generator Roof Total Sq. Ft of Construction: J -r qb Cost of Construction: $ 6t1b0, C) S of First Floor: 11Ft _ utilitiesSewer a Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name V1`d f1A Name: f}%2r,L /f . (1" AI'eS Ap Address: 3824 AThiA'1 1✓,- (',e-' Company: City: a Ate' State: L Zip Code:3Lf 9-5-2- Fax: Phone No. q 7g- $7C)- tf 9 2,5- Address: Z i / i7al- City: StateP6 Zip Code: .33 C1i5::' Fax: Phone No. ,56 1 zi°33 Z/9 7 E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E -Mail: r State or County License: !4 (50y If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Address: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for improvem is to your property. A Notice of Commencement must be recorded and posted on the jobsite before e Irst inspection. If you intend to obtain financing, consult with lender or an attorney before com en ng work ot recording your Notice of Commencement. -7 � _ Signature`of Owner/ Lessee/Agent r/License H STATE COUNTY OF ORID��/ I COUNTSTATE OY OF FLORIDA / The forgoing instrument was acknowledged before me this I?_ day of , 20 (Zby (Nam7ofrs n acknow (Sig t of t Puk rsonally n wn Type of Identification P Commission No. W"( Revised 07/15/2014 i ✓flS Florida Y C MMISSION #FF077 -,,,.., oF��;,:•` ���ES December 17, 2( 1407) 39"153 FloridallotaryService corn The forgoing instrument was acknowledged before me this i Z day of 20 (-? by (Name of pha knowledging ) 11 _ C�-_ (` of No ublic- tate of Florida ) an'`(a ly Knodn V — of Identification Pro u, ` JOHN EDWARD GIFiORD �F�� MY COMMISSION #FF077427 mission No. y o? ' EXP 5ecember 17, 2017 (407) 39801 53 FloridallotaryService com REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 7/15A` . e "► Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved Summary of Products Florida Building Code Online Method 1 Option D 04/23/2015 04/30/2015 05/06/2015 06/23/2015 C-r!D vLnd FL # ' Model, Number or Name Description 14239.1 Slotted Steel Tie -Down Clips, 1" and Steel Tie -Down Clip System (For Use with Mechanical Units 2" Models at Roof or Grade) Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL14239 R3 II Dwg,pdf Approved for use outside HVHZ: Yes Verified By: Frank L. Bennardo, P.E. 0046549 Impact Resistant: N/A Created by Independent Third Party. Yes Design Pressure: N/A Evaluation Reports Other: This design provides allowable capacities for the FL14239 R3 AE Eval.pdf system. The required site-specific design pressure (demand) Created by Independent Third Party. Yes shall be calculated by others for use with this design. Sack drat Contact Us :. 1940 North Monroe Street. Tallahassee FL 32399 Phone, 850-487 1824 The State of Florida is an AA/EEO emplover Copyright 2007-2013 State of Florida. Privacy Statement Accessibility Statement • Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a pubbc-records request, do not send electronic mall to this entity Instead, contact the office by phone or by traditional mail If you have any questions, please contact 850.487 1395 -Pursuant to Section 455 275(1). Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F,S must provide the Department with an email address If they have one The emalls provided may be used for official communication with the licensee However email addresses are public record If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public, To determine if you are a licensee under Chapter 455, F S , please click here . Product Approval Accepts: PEWRM ® ei.Ntcl. sccuritvatrrniCS _ • . tam "$i Mtnc !/fl rvirlahi iilriirn rvn/ry/ry aryl 7f7 7/15>2015 Florida Building Code Ovine Fora, Depd ful'entd SCIS Home Log In User Registration Hot Topics Submit Surcharge - Stats &Facts Publications I FBC Staff BCIS Site Map Links � Search Bu( sines Product Approval Regulation 11-M:iiIrYA�RHR41 ; M�3111�fiM 1Product Approval Menu > Product or Application Search > Application List > Application Detail �.:I,A:i.trL, VeiYJYVi�Yta FL # FL14239-R3 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method BMP International Inc. 4710 28th Street N St. Petersburg, FL 33714 (727) 458-0544 benmeng8@yahoo.com Xianbin Meng benmeng8@yahoo.com Structural Components Anchors Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer .v Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Frank L. Bennardo, P E the Evaluation Report Florida License PE -0046549 Quality Assurance Entity National Accreditation & Management Institute Quality Assurance Contract Expiration Date 12/31/2018 Validated By Ted Berman, PE � Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL14239 R3 COI Indep.Ddf Standard ASTM D1761-06 ASTM D1761-88 Florida L censed Professional Engineer or Architect FL14239 R3 Equiv Egyiv.p�f Year 2006 2000 m,sENGINEERING EXPRESS® `'' ✓, o E D ® © PRODUCT EVALUATION REPORT April 14, 2015 Application Number: FL #14239.1-R3 FLB Project Number: 15-2378 Product Manufacturer: BMP International Manufacturer Address: 4710 28th Street North St. Petersburg, FL 33714 Product Name: Slotted Steel Tie -Down Clips, 1" and 2" Models Product Description: Steel Tie -Down Clip System (For Use with Mechanical Units at Roof or Grade) Scope of Evaluation: This Product Evaluation Report is being issued in accordance with the requirements of the Florida Department of Community Affairs (Florida Building Commission) Rule Chapter 61G20-3.005, F.A.C., for statewide acceptance per Method 1(d). The product noted above has been tested and/or evaluated as summarized herein to show compliance with the Florida Building Code Fifth Edition (2014) and is, for the purpose intended, at least equivalent to that required by the Code. Re-evaluation of this product shall be required following pertinent Florida Building Code modifications or revisions. Substantiating Data: 0 PRODUCT EVALUATION DOCUMENTS FLB drawing #15-2378 titled "Mechanical Unit Steel Tie -Down Clip: At -Grade and Roof -Top Mounted Applications", sheets 1-5, prepared by Engineering Express, signed & sealed by Frank L. Bennardo, P.E. is an integral part of this Evaluation Report. 0 TEST REPORTS Ultimate test loading structural performance has been tested in accordance with -ASTM -D1761-88 test standards per test report(s) #TEL 01970387A and #TEL 0197038713 by Test �Iu&6oratories, Inc. ,.�6V,. a 0 STRUCTURAL ENGINEERING CALCULATIONS Raised Engineer's Seal Valid fo, Structural engineering calculations have been prepared which a 9es jam. tI49_2_ evaluate the product based on comparative and/or rational analysis to qualify the following design criteria: 1. Minimum Allowable Unit Width o _ 2. Maximum Allowable Unit Height Frank,goy 3. Minimum Unit Weight # PE00 s���f X85 s 4. Maximum Allowable Unit Surface Area I^' 5. Clip Configuration and Anchor Spacing 6. Anchor Capacity for Various Substrates 7. Maximum allowable rooftop heights for various installation wind speeds No 33% increase in allowable stress has been used in the design of this product. 160 SW 12TH AVENUE #106 DEERFIELD BEACH, FL 33442 aLZn-�1Ze-nrAn or- e-ISA-f)AAI ` ENGINEERING EXPRcSS 4/14/2015 BMP International - Steel Tie Down Clips Page 2 of 2 Impact Resistance: Not applicable to this product. Wind Load Resistance This product has been designed to resist wind loads as indicated in the design schedule(s) on the Product Evaluation Document (i.e. engineering drawing). Installation The product listed above shall be installed in strict compliance with the Product Evaluation Document (i e engineering drawing), along with all components noted therein. The product components shall be of the material specified in the Product Evaluation Document (i.e. engineering drawing). Limitations & Conditions of Use: Use of this product shall be in strict accordance with the Product Evaluation Document (i.e. engineering drawing) as noted herein All supporting host structures shall be designed to resist all superimposed loads and shall be of a material listed in this product's respective anchor schedule. Host structure conditions which are not accounted for in this product's respective anchor schedule shall be designed for on a site-specific basis by a registered professional engineer. All components which are permanently installed shall be protected against corrosion, contamination, and other such damage at all times. This product has been designed for use within and outside of the High Velocity Hurricane Zone (HVHZ) 160 SW 12T" AVENUE #r 106 DEERFIELD BEACH, FL 33442 PHONE: 954-354-0660 FAX: 954-354-0443 WWW.ENGEXP.COM a , ...... lgr7 wmnian 'a'OaUVN168 -77Havai v T'6EZbiSl3 lVAoVddV lanW'dd (VTOZ) NOI1103 HIS 79d ;�J' 'OIL" SMO WAOa-3ll 13315 SING T:)INVN�3W +.*t�+e.«Go E4t9- Ed 0990bSE (456) ;w a - yi}V99 ol3L3a334 ES9i-LLS (LZL) Hd M���� M N �7 m iii (7,A4V 43ZT MS 09t CLbEE ld '9af195a313d'1S - it 6WROMWIM - to U— fQldX3 u, �- IuaoN 533ais HJsz out• w w , �JN� JNI `_lbNOI LVN2i31NI dW9 Bo z Y ONUI"�S>z«��x U. O °r< .r.2Q 30 G Oi Zj +yajOw Oa mW°w' 3 SFW Wwa� mnG a=Ns FO�z aa pWam Ca W WOc SF �r 00 Oa(? 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